Part 1 in an in-depth series
Insurance carriers are routinely presented with claims for insurance benefits that contain elements of fraud.
Insurance carriers are routinely presented with claims for insurance benefits that contain elements of fraud. As a practical matter, fraudulent claims may be classified in three categories: fraud at the inception of the policy; fraudulent enhancement of an otherwise valid claim; and the staged loss. The elements of these types of claims often overlap, and the successful defense of a fraudulent claim for insurance benefits is based on a thorough understanding of the insurance policy and a complete analysis of the claim. Due to the scope of the subject matter, this topic will be addressed in a monthly series of articles. Each will focus on a different part of the investigation process. This first article begins with an overview of the investigative process.
Part 1 in an in-depth series
Insurance carriers are routinely presented with claims for insurance benefits that contain elements of fraud.
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